title: Kienböck's disease: unusual cause of acute onset wrist pain in a dialysis patient.
abstract: Kienböck's disease is a rare disorder that presents with wrist pain and limitation of motion and is caused by avascular necrosis of the lunate bone. Dialysis patients occasionally present with wrist pain. However, Kienböck's disease is rarely reported in dialysis patients. We report a case of 52-year-old woman with a 28-year history of hemodialysis who presented with acute wrist pain. T1-weighted magnetic resonance imaging showed diffuse low intensity of the lunate bone, consistent with the diagnosis of Kienböck's disease. Because this disease can lead to chronic debilitating wrist pain, prompt diagnosis, accurate staging, and provision of appropriate treatment is mandatory.
authors.affiliation: Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Yamada
authors.forename: Rieko
authors.initials: R
authors.lastname: Eriguchi
authors.forename: Jiro
authors.initials: J
authors.lastname: Toyonaga
authors.forename: Masatomo
authors.initials: M
authors.lastname: Taniguchi
authors.forename: Satoru
authors.initials: S
authors.lastname: Fujimi
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Tsuruya
mesh_terms: D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D012667:Lunate Bone / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010020:Osteonecrosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010146:Pain / Q000209:etiology; D006435:Renal Dialysis; D014955:Wrist Joint / Q000473:pathology